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REEL ACRYS
BUILDING PERMIT APPLICATION TIGARD DATE _- _,19-__. 3892
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE ('11134-0060
CR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS ANIS SPECIFICATIONS, OWNER PHONE __
LUT NO._
VV
OWNER :lcc�11 C:OT2L Lz .CUAOBADDRESS 11125 Sv4' 93-rd Court _
ARCHITECT
ENGINEER
BUILDER .sane ADDRESS iQ55 bion C'.OIxImerC.i 1 t.DESIGNER Aichenell, Inc.
STRUCTURE 3 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR C; RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION
a'RESIDENCE ❑ COMM ❑_EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE
OCCUPANCY -LAND USE ZONE L-5 BLDG.TYPE 5T` FIREZONE PLAN CHECK BY 4 rt—I—HEAT__ (:'1 t) '.
c on ytnict single fa.mlly dwal Lina w/attached ctetr ae. 3 Sedrooms 1 Fath.
RI,- 1SSUT.' of Porri,t #3.n9n (11175 sr 91 re ro,i rt)
�f►t��e.�,�.,. ��L ,'IGl t~�� iQ� Gs�.n 2nc., fCl,�Im�� ' _...
SEWER PERMIT N-2'3'_ '1 - 10.o f1 -,
OCC.LOAD FLOOR LOAD 40 HEIGHT 1.2 NO.STORIES AREA I O NO.BEDROOMS 3 VALUE 3 8,00
BUILDING DEPARTMENT SETBACKS ry RF AR 4 c LEFT SIDE > RIGHT SIDE (;
Permit _^ 1`'1 • THIS PERMIT IS ISSUED SUBJECT rO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check 1 WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
Subtotal 1 C 1 . l fT RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax
LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
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— SDC
Total — $40n, no
_ �(i I.!?�
By
PDCN T! 11'jL0().n 0 PPLI�� CANTOR AGENT
_ f�l _
Receipt No.
Approved ��( '� ADDgE8t3 _...__�___��__._____ PRONE
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
Contractor
kzz Permit No, -.22,13 A0X77 8
Rough-in
Fixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
F ial
DRIVEWAY
Final
Storm Drainage
(Rain Drain)Final
Sidewalk
Curb&Street Final
Approach
TEMPORARY
Y ClFii
BLDG. DEPT.FINALTiriCATE OC
_ _JCE"TlFICATE OCCUPANCY Final
Landscaping
Zoning Final